Student Enrollment Application - Integrative Aromatherapy® Certificate Program
This enrollment application is the first step in the IIA registration process into the Certificate Program. It is designed to provide your instructor with important background information that will be kept confidential, and kept as part of your student file.
Call Laraine at 303-545-2002 or 888-282-2002, or e-mail larainekp@gmail.com for pre-enrollment consultation about the course.
Payment can be sent by check or major credit card. Inquire about a payment plan.
Your Name (required)
Your Email (required)
Your Address(required)
City/State/Zip(required)
Home Phone
Work Phone
Profession or Occupation:
Highest grade of school completed/Degrees:
Certifications
Describe your experience with Essential Oils and Aromatherapy training (if any):
Reasons for studying aromatherapy:
Do you have a special area of interest, or specific reason for becoming certified?
Do you consider yourself self-motivated and disciplined? YesNo
How much time do you plan to dedicate to your educational studies per week?
AHNA member number (if applicable) - Members save $50 off the course
How did you hear about the IIA Integrative Aromatherapy® Certificate Program?
What are good days and times for your instructor to contact you by phone?
Student Photo
Input this code:
By clicking Enroll you are agreeing to the IIA Student Contract(available here)
Upon approval and acceptance into the program, your IIA Certificate Program materials kit will be shipped to you via insured USPS Priority Mail. A follow-up phone orientation meeting will be planned with you after receipt of course materials. Laraine will review with you the layout of the course, including the course forms and answer any questions you may have.
IIA Refund Policy: If you are not satisfied with the IIA Certificate Program for any reason, you may return it within 7 days, less 10% processing fee. Return the kit to your instructor via UPS or USPS insured shipment, with all the educational materials in the original box and all blending supplies unopened and in excellent condition.
